Cochrane · systematic review · CD004084
Central venous access sites for the prevention of venous thrombosis, stenosis and infection
Ge, X, Cavallazzi, R, Li, C, et al. · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library
Emergency and Critical CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
18
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 22.2%Moderate 9 · 50%High 5 · 27.8%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Internal jugular versus subclavian insertion: long‐term catheterization for the prevention of venous thrombosis, stenosis and infection
Population: cancer patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Catheter‐related infectious complications ‐ Exit site infection Internal jugular vs subclavian insertion: long‐term catheterization | RR 7 [0.88, 55.86] | 1 study · 200 participants | Low Downgraded: risk of bias |
Catheter‐related infectious complications ‐ Port‐related bacteraemia and/or pocket infections Internal jugular vs subclavian insertion: long‐term catheterization | RR 0.35 [0.04, 3.32] | 1 study · 240 participants | Moderate Downgraded: risk of bias |
Catheter‐related thrombotic complications Internal jugular vs subclavian insertion: long‐term catheterization | RR 1.97 [0.87, 4.48] | 1 study · 240 participants | Moderate Downgraded: risk of bias |
Immediate mechanical complications ‐ Total mechanical complications Internal jugular vs subclavian insertion: long‐term catheterization | RR 1 [0.21, 4.84] | 2 studies · 468 participants | Low Downgraded: risk of bias |
Immediate mechanical complications ‐ Major mechanical complications Internal jugular vs subclavian insertion: long‐term catheterization | RR 0.33 [0.01, 8.09] | 2 studies · 468 participants | Low Downgraded: risk of bias |
Late mechanical complications Internal jugular vs subclavian insertion: long‐term catheterization | RR 1.67 [0.41, 6.79] | 2 studies · 468 participants | Low Downgraded: risk of bias |
Femoral versus subclavian insertion: short‐term catheterization for the prevention of venous thrombosis, stenosis and infection
Population: critically ill patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Catheter‐related infectious complications ‐ Catheter colonization Femoral vs subclavian insertion: short‐term catheterization | RR 6.43 [1.95, 21.21] | 1 study · 270 participants | High |
Catheter‐related infectious complications ‐ Catheter‐related bloodstream infection Femoral vs subclavian insertion: short‐term catheterization | RR 2.03 [0.19, 22.12] | 1 study · 270 participants | High |
Catheter‐related thrombotic complications Femoral vs subclavian insertion: short‐term catheterization | RR 11.53 [2.8, 47.52] | 1 study · 223 participants | High |
Immediate mechanical complications ‐ Total mechanical complications Femoral vs subclavian insertion: short‐term catheterization | RR 0.92 [0.56, 1.51] | 1 study · 289 participants | High |
Immediate mechanical complications ‐ Major mechanical complications Femoral vs subclavian insertion: short‐term catheterization | RR 0.5 [0.09, 2.67] | 1 study · 289 participants | High |
Femoral versus internal jugular insertion: short‐term catheterization for the prevention of venous thrombosis, stenosis and infection
Population: critically ill patients who were expected to require support with renal replacement therapy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Catheter‐related infectious complications ‐ Catheter colonization Femoral vs internal jugular insertion: short‐term catheterization | RR 1.04 [0.8, 1.36] | 1 study · 637 participants | Moderate Downgraded: risk of bias |
Catheter‐related infectious complications ‐ Catheter related bloodstream infection Femoral vs internal jugular insertion: short‐term catheterization | RR 0.58 [0.14, 2.4] | 1 study · 637 participants | Moderate Downgraded: risk of bias |
Catheter‐related infectious complication ‐ Subgroup Analysis for the effect of BMI on catheter colonization ‐ Highest BMI tercile (>28.4) Femoral vs internal jugular insertion: short‐term catheterization | RR 1.69 [1.08, 2.65] | 1 study · 202 participants | Moderate Downgraded: risk of bias |
Catheter‐related thrombotic complications ‐ Symptomatic deep venous thrombosis Femoral vs internal jugular insertion: short‐term catheterization | RR 0.99 [0.14, 6.98] | 1 study · 736 participants | Moderate Downgraded: risk of bias |
Catheter‐related thrombotic complications ‐ Catheter related thrombosis Femoral vs internal jugular insertion: short‐term catheterization | RR 0.46 [0.21, 1.01] | 1 study · 151 participants | Moderate Downgraded: risk of bias |
Immediate mechanical complications ‐ Total mechanical complications Femoral vs internal jugular insertion: short‐term catheterization | RR 0.51 [0.29, 0.88] | 1 study · 736 participants | Moderate Downgraded: risk of bias |
Immediate mechanical complications ‐ Major mechanical complications Femoral vs internal jugular insertion: short‐term catheterization | RR 0.33 [0.03, 3.16] | 1 study · 736 participants | Moderate Downgraded: risk of bias |